Dear Residents,
Thank you for waking early and working tirelessly all day and sometimes all night caring for patients while also learning, teaching, and researching with passion and humanity. Our future is bright because you are relentless!
Sincerely yours,
A grateful attending
Dear Residents,
Thank you for waking early and working hard all day and sometimes all night caring for patients while also learning, teaching, and researching with passion and humanity. Our future is bright because of you!
Sincerely yours,
A grateful attending
Congratulations to Dr Caroline Park
@CPark_MD
on her new role as Vice Chair of Outreach for the
@AmCollSurgeons
Health Information Technology Committee 👏
We are thrilled to have Dr. Amalia Cochran
@AmaliaCochranMD
join
@UFSurgery
(first day today!) as a full Professor of Surgery sharing her trailblazing wisdom as past President of
@WomenSurgeons
with the next generation of leaders
@UFSurgResidents
. Welcome Dr. Cochran!
Dear Residents,
Thank you for committing to providing the best care for our patients all day and sometimes all night while also studying, teaching, and researching relentlessly. We must all commit to also taking care of you, our future.
Sincerely yours,
A grateful attending
Congratulations to Dr Dan Hashimoto
@Laparoscopes
on his new role as Vice Chair of Education and Research for the
@AmCollSurgeons
Health Information Technology Committee 👏
Last day of fellowship! So grateful to all who trained me. To the rising chiefs, fellows:
-Lead from the front
-Engage students
-Challenge microaggresions, bias
-Caring for patients is a spectacular privilege and responsibility. Be relentless!
#medtwitter
#UnsolicitedAdvice
Last day of residency! To rising chiefs:
-Lead from the front
-Run a tidy ship
-Make time to get coffee for your patient, intern, bedside nurse
-Caring for patients is a spectacular privilege and responsibility: be relentless!
#medtwitter
#UnsolicitedAdvice
Huge congratulations to our extraordinary Chair Dr Gib Upchurch
@gru6n
@UFSurgery
for ascending to President of the Southern Surgical Association. The future has never been brighter!
Just announced by Dean Koch: my extraordinary mentor Dr. Azra Bihorac
@AzraBihorac
has been named Senior Associate Dean for Research Affairs
@UFHealth
. There could be no better choice. So many will benefit and grow from her brilliant vision and strong leadership. Go gators! 🐊💪
Congratulations to our chief residents
@UFSurgery
who just matched into surgical critical care (each at their top choice 💪)
Dr. Camille Apple - Duke
Dr. Julie Stortz - UF
Dr. Michael Cox - UF
We take great pride in your success as you launch into the next phase of training!
Congratulations to Dr.
@AzraBihorac
Senior Associate Dean for Research Affairs
@UFHealth
for her long overdue Alpha Omega Alpha honor society induction 💪
A generational leader, visionary researcher, and extraordinary mentor and sponsor - nobody deserves this more
Last night our beloved Chair
@UFSurgery
Dr Gib Upchurch
@gru6n
received the Charles W Putnam Distinguished Mentor Award from
@WomenSurgeons
and nobody could deserve it more. An authentic champion for fairness, equity and a brighter future for all
Congratulations to Dr. Jeremy Balch
@balchja
@UFSurgResidents
on beginning a 3-year research fellowship embedded within surgery residency during which he'll earn a PhD in Biomedical Informatics sponsored by the
@UFHealth
Emerging Research Scholars
#AI
Program and
#NIH
T32 award💪
Executive summary of
#AI
in surgery
@SurgJournal
:
Thank you to our global, multi-disciplinary group of experts for sharing their experiences in facing AI development and implementation challenges and overcoming them toward improved surgical care
.
@UFSurgResidents
@UFSurgery
Intern Surgical Olympics!
Soaked intern
@philiphongmd
defends his honor during the water-filled glove clamp, divide, and ligate task. His ligation was perfect but the glove burst from a manufacturing defect vs. thinly veiled chief/judge malice🤔
Congratulations to our
@UFSurgResidents
rising chiefs matching into Vascular Surgery today👏💪
Dr. Amanda Filiberto: University of Alabama-Birmingham
Dr. Derek Leaderer: University of Florida
#WhyUFSurgery
- phenomenal clinical experience mentorship and sponsorship
@UFVascular
For many core surgical procedures, low proportions of graduating residents achieve practice-ready performance. Ken Abbott (formerly
@UMichSurgery
now
@UFSurgResidents
) and
@bcgeorge
provide a strong rational for educational reform in
@AnnalsofSurgery
"conversion of our...trauma operating room to an endovascular hybrid operating room provided measurable improvements in hemorrhage control...and transfusions...without significant increase in cost"
-
@balchja
@UFSurgResidents
🐊💪 et al in
@JTraumAcuteSurg
:
"Residents generally have high levels of grit...we must make changes in our culture...to decrease the unacceptable and unsustainable level of burnout"
Thoughtful commentary from Dr. Pamela Lipsett
@hopkinssurgery
in
@JAMASurgery
Huge congratulations to Dr. Angel Charles
@UFSurgResidents
@UFSurgery
for winning the
@UFHealth
Hugh Hill Award given to the single best resident teacher in the hospital 🐊💪
Thanking Residents the day before Thank-A-Resident Day because you all work so hard that you probably wouldn't see this post tomorrow. Our future is bright because of you. Thank you!
We
@UFSurgery
have had the great privilege of hosting Dr Vikas Dudeja
@drvikasdudeja
from
@UABSurgery
who shared extraordinary research on pancreatic cancer immunology as well as surgeon-scientist career wisdom as part of our faculty exchange program. Thank you Dr Dudeja 🙏
.
@UFMedicine
MS4 Molly Nyren's first first author paper in
@SurgJournal
🐊💪
Laparoscopic common bile duct exploration simulation was associated with increased
@UFSurgResidents
performance and autonomy in the OR and excellent patient outcomes:
Women surgeons had lower mortality rates than men 😳
for several procedures, after propensity matching.
This is consistent with high quality evidence in non surgical literature
@JAMAInternalMed
:
#AI
in surgery series
@SurgJournal
:
Reinforcement learning identifies a sequence of actions to achieve a predetermined goal, responding to changing physiological states during and after surgery
Great contribution from
@AzraBihorac
@UFHealth
This kind of leadership inspires loyalty.
👇email from my boss
@gru6n
@UFSurgery
approving a new hire for
#AI
research
@UFHealth
last fall during widespread covid-related financial restrictions
Congratulations to our newly matched general surgery residents
@UFSurgResidents
@UFSurgery
- we can’t wait to work with this exceptional group of surgeons! 🐊 💪
A tremendous honor to have the incomparable Dr. Bob Bartlett present Grand Rounds on ECMO
@UFSurgery
with
@UFSurgResidents
learning from this important image of a consummate surgeon scientist at the bedside caring for and comforting a patient
This is the way
Congratulations to our Chair
@gru6n
@UFSurgery
for induction into the National Academy of Medicine - a richly deserved lifetime achievement. We are unaware of any libations suitable for this tremendous honor so instead we made coasters (also unsuitable)...congratulations again!
Dr. Gilbert R. Upchurch Jr. been named to
@theNAMedicine
for his seminal work on the understanding of vascular disease and surgical care.
“...this is the reflection of all the amazing people I have been blessed to work with in my career,"
@gru6n
said.
#MachineLearning
algorithms predict post-transplant outcomes, classify biopsy and radiographic data, augment pharmacologic decision making, and accurately represent the complexity of host immune response:
Great work from
@balchja
@UFSurgResidents
Strong display of support from our hero cops and first responders circling the Garden of Hope outside the hospital
@UFHealth
- thank you
@GainesvillePD
- we’re in this together!
@UFSurgery
Congratulations to Dr. Jeremy Balch
@balchja
@UFSurgResidents
for winning the Clinical Research Award for the plenary session of our
@UFSurgery
Research Day with his paradigm-shifting work on
#AI
modeling approaches that incorporate prior knowledge of risk strata 🐊💪
For residents performing laparoscopic common bile duct exploration, prior experience with formative feedback was associated with greater operative performance and autonomy:
Strong work by surgery-bound MS4 Molly Nyren
@UFSurgResidents
@SIMPLCollab
et al
This project is the capstone on years of hard work and exceptional leadership by
@AzraBihorac
,
@Parisa__Rashidi
, and
@TBaslanti
@UFHealth
, moving past
#AI
development and toward real-world applications that can improve care for thousands of surgical patients at UF and beyond 💪
AI platform MySurgeryRisk is as or more accurate than physicians at predicting postop surgical complications using real-time data.
@UFHealth
researchers spent years developing and testing this machine learning system. Read more at
#AIatUF
#AI
in surgery series
@SurgJournal
:
The future of surgical microrobots includes drug delivery, patching perforated ulcers, and suturing tasks with increasing autonomy and complexity
Great contribution from Dr. Miyashita and colleagues
@sheffielduni
Congratulations to Dr. Valerie Polcz
@UFSurgery
@UFSurgResidents
for winning the Association for Academic Surgery
@AcademicSurgery
Outstanding Resident Research Award in Clinical Outcomes for her work toward managing trauma-induced sarcopenia and frailty 🐊💪
Thank you Dr. Wexner and senior author/
#AI
visionary
@AzraBihorac
The safe, effective clinical implementation of AI in surgery will require leadership by an AI-competent surgical workforce. We propose steps to build one, based on these overlapping realms:
Congratulations to Dr. Valerie Polcz
@ValeriePolcz
@UFSurgery
@UFSurgResidents
for winning the
#ASC2024
Outstanding Resident Research Award in Clinical Outcomes by describing pathophysiology and patient outcomes in trauma-induced sarcopenia with an outstanding presentation
From the podium at doctoral commencement, Dr. Gib Upchurch
@gru6n
@UFSurgery
shared his vision for academic curiosity, rigor, growth from failure, and service to others. The best part was acknowledging the love and support of his wife as she appeared on the jumbotron screens ✊
"Follow your curiosity wherever it leads you."
Our
@UFSurgery
chair, Dr. Gilbert Upchurch(
@gru6n
), gave the commencement speech for
@UF
's
#UFgrad
doctoral ceremony today. To read the full piece, head over to . Congrats, Gators! 🐊🙌🎓
Azra Bihorac, the R. Glenn Davis Professor of Medicine, Surgery and Anesthesiology, is the first-ever keynote speaker at the annual HiPerGator Symposium. The 2020 Symposium focus is
#AI
. The HiPerGator Symposium is open to everyone in the UF community.
Congratulations to Dr. Evan Barrios
@UFSurgResidents
@UFSurgery
for an excellent presentation at
#ASC2024
describing the role of myeloid-derived suppressor cell subsets in the pathophysiology of chronic critical illness and suggesting a path toward therapeutic targets
A tribute to Dr. Mike Sarr. As an editor, he was committed deeply to rigorous reviews that elevated authors and their work. He was also a staunch proponent of proper grammar and probably cringes at these (my) sentence structures.
Thank you Dr. Sarr!
Kudos to
@The__Liver
and
@_TylerLoftus
, whose research is featured in the April 2021 issue of
@JAmCollSurg
SSA.
Learn more about the impact of a dedicated, trauma hybrid OR () & racial disparities in liver transplantation listings ().
...and now joining Dr Hashimoto, congratulations to Dr Jeremy Balch
@balchja
@UFSurgResidents
@UFSurgery
on his new role as Assistant Chair of the Education and Research Subcommittee of the
@AmCollSurgeons
Health Information Technology Committee 👏
Congratulations to Dr Dan Hashimoto
@Laparoscopes
on his new role as Vice Chair of Education and Research for the
@AmCollSurgeons
Health Information Technology Committee 👏
#AI
can unintentionally potentiate health disparities when input data reflect implicit bias.
We suggest:
1. Only use inputs that represent pathophysiology
2. Modify reporting guidelines
3. Incorporate patient values
🙏
@CJMannMD
@AzraBihorac
@JAMASurgery
Surgical decision-support tools propagate disparities when model inputs are biased.
#AI
can also mitigate disparities by augmenting decisions made under time constraints and uncertainty, which unmask implicit bias
@CJMannMD
@_TylerLoftus
@AzraBihorac
I am hiring a full-time data scientist (80%
#ML
, 20% scientific collaboration), must share our passion
@UF_IC3
@UFSurgery
to improve surgical care by augmenting patient centered decision making, flexible combination of in-person and remote work:
Dr Jeremy Balch
@balchja
@UFSurgResidents
@UFSurgery
presents evidence
@AmCollSurgeons
that surgery residents and fellows often achieve practice-ready performance during training, but are not always granted the autonomy they've earned. Time to fix that!
#AI
in surgery
@SurgJournal
:
An algorithm learns from human grading and robotic instrument kinematic data to improve robotic suturing skill assessments. Coaching surgeons should match pro athletes and musicians - this is the way.
🙏
@AjhungMD
@USC_Urology
#AI
in surgery
@SurgJournal
:
Lessons learned from a randomized trial of
#MachineLearning
decision-support: Anesthesiologists acted earlier, more frequently, and differently for impending hypotension -> improved intraop hemodynamics
Outstanding work from Dr. Vlaar and colleagues
#WhyUFSurgery
Because our amazing Surgery Education Office staff upped 'Thank a Resident Day' to 5 days:
Monday-Fancy coffee
Tuesday-Call room treats
Wednesday-Catered lunch
Thursday-Baked goods
Friday-Breakfast and parfait day
(food-based...we get you)
#AI
@SurgJournal
:
A
#MachineLearning
model using CT and clinical findings differentiates between benign and pathologic pneumatosis with AUC 0.91, demonstrating potential to augment decisions for operative exploration
Great contribution from
@PittSurgery
@DBMI_Pitt
Congratulations to Dr Victoria Nolan
@victoria_nolan1
@UFSurgery
for winning the AI4Health 2024 Top Poster Award with a perfect score for her work using LLM to recommend proxy decisions that align with patients’ values 🐊 💪
Strong work from Dr. Chris Jacobs,
@gru6n
, and colleagues
@UFVascular
@UFSurgery
describing excellent outcomes for redo mesenteric bypass for acute or chronic mesenteric ischemia at
#ACSCC2022
Feeling guilty for bogarting this research advice from
@jdimick1
since
@AmCollSurgeons
ClinicalCongress '15:
1) ID a problem
2) Ok to do logistic regression gymnastics describing it
3) Get over your bibliopenia
4) Start there but don't finish there- propose solutions
5) Scale up
Huge congratulations to
@AzraBihorac
leading the
@UF_IC3
@UFHealth
team to prospective validation of real-time predictive analytics with streaming EHR data and mobile device outputs - a capstone on years of relentless effort and scientific rigor.
Rigorous, transparent (open-source code) development of an
#AI
enabled mobile device app that generates frailty scores and predicts outcomes for injured elderly patients
Great work from
@JeffChoi01
@OpNotes
and
@DavidASpain
@StanfordSurgery
:
Here's to our Chair
@gru6n
@ufsurgery
for supporting
@WomenSurgeons
not only with words but also - and more importantly - with actions, including equity as one of our 4 main missions along with clinical care, education, and research
Thank you Dr. Wexner🙏
All credit to rising star first and senior authors Amanda Filiberto and Michol Cooper with exceptional mentorship from
@AzraBihorac
and
@gru6n
, great team
@UFSurgery
Intraoperative data improves
#MachineLearning
predictions of postop AKI
If unchecked, global economic inequality will translate to biological inequality as
#AI
augments the human mind and body...but only for people with the necessary resources. AI should serve all of us, not just the privileged few.
-
@AzraBihorac
, keynote
@GoGatorsUFIT
AI Symposium
@_TylerLoftus
, with the help of
@gru6n
and
@AzraBihorac
, provides some remarkable insight into artificial intelligence and deep learning in surgical decision making.
@UFSurgery
is lucky to keep him around and help lead us into the future.
@JAMASurgery
Great work from
@cdessaigne90
and Prof Alicia Mohr
@UFSurgery
: beta blockade attenuates bone marrow failure and anemia after severe trauma with a distinct microRNA signature - another step toward improving care for trauma patients from Mohr lab
@JAmCollSurg
#traumainformed
Journal of the American College of Surgeons (JACS)
Post-injury neuroendocrine stress activation impairs erythropoiesis by microRNA-associated mechanisms. Important implications for mitigating immunosuppressive effects of blood transfusion after trauma
Great work from
@camilleapple0
and
@UFSurgResidents
in Mohr Lab
@UFSurgery
Women are underrepresented among surgery fellowship program directors, have leadership roles in lower paying specialties, and have lower academic ranks than male counterparts - important data from
@FilibertoAmanda
@UFSurgery
@SurgJournal
raising awareness about disparities
Dr Zarrinpar
@The__Liver
representing
@UFSurgery
at the Southern Surgical Association with an excellent presentation demonstrating the potential for liquid biopsy (blood samples) of circulating tumor DNA rather than invasive tissue biopsy to monitor hepatocellular carcinoma 🐊💪
Dr Jeremy Balch
@balchja
@UFSurgResidents
@UFSurgery
drawing a crowd to discuss the importance of understanding patient socioeconomic vulnerability in providing high quality surgical care 🐊💪